ATI RN
Assessment of High Risk Pregnancy NCLEX Questions Questions
Question 1 of 5
The nurse is caring for a client who had a contraction stress test. Which change in assessment requires immediate notification of the health care provider?
Correct Answer: B
Rationale: The correct answer is B because late decelerations with at least 50% of contractions indicate fetal distress and potential hypoxia. This requires immediate notification of the healthcare provider for further evaluation and intervention. No late decelerations (choice A) are normal. Accelerations with contractions (choice C) are reassuring. No contractions produced (choice D) would indicate an inadequate test and require reevaluation.
Question 2 of 5
A client presents to Labor & Delivery for an ultrasound at 16 weeks gestation for vaginal bleeding. She asks the nurse if the procedure will harm her baby. Which is appropriate for the nurse to tell the client?
Correct Answer: B
Rationale: The correct answer is B: "Ultrasounds use sound waves to view your baby, not radiation, so the procedure will not harm your baby." Rationale: 1. Ultrasound uses sound waves, not radiation, to create images of the baby in the womb. 2. The sound waves are considered safe for both the mother and the developing baby. 3. There is no evidence to suggest that ultrasound procedures pose any harm to the pregnancy. 4. It is important to reassure the client that the ultrasound is a routine procedure and will not harm the baby. Summary: Choice A is incorrect because it wrongly implies that the ultrasound could potentially harm the baby due to the existing bleeding, which is not true. Choice C is incorrect as it does not provide specific information regarding the safety of ultrasound during pregnancy. Choice D is incorrect as it lacks the specific information about the safety of ultrasound and relies on a general statement about the doctor's intentions.
Question 3 of 5
The nurse is caring for a 45-year-old client who is scheduled to have a chorionic villus sampling. Which information is most important for the nurse to obtain from the client before the procedure?
Correct Answer: D
Rationale: The correct answer is D: Maternal bleeding disorders. This information is crucial before a chorionic villus sampling to assess the risk of excessive bleeding during the procedure due to potential clotting issues. Maternal bleeding disorders can increase the risk of complications during the procedure. A: NPO status is not as critical for this procedure as it does not typically require fasting. B: Blood type and Rh are important for other purposes but not specifically needed before a chorionic villus sampling. C: Weeks of gestation is important for determining the timing of the procedure but does not directly impact the safety or success of the procedure.
Question 4 of 5
The nurse is preparing to assist with the insertion of an intrauterine pressure catheter and a fetal spiral electrode. What is required for proper placement by the practitioner? Select all that apply.
Correct Answer: A
Rationale: Correct Answer: A - Rupture of membranes Rationale: 1. Rupture of membranes is necessary for the insertion of intrauterine pressure catheter and fetal spiral electrode. 2. It allows safe passage of the catheter and electrode into the uterus. 3. Without ruptured membranes, there is a risk of infection and difficulty in inserting the devices. Summary: - Choice B (Dilated cervix) is not required for the insertion of these devices. - Choice C (Vertex fetus) is not a factor in the insertion process. - Choice D (Moderate variability) is related to fetal heart rate monitoring, not device insertion.
Question 5 of 5
Which suggestion is most helpful for the pregnant patient who is experiencing heartburn?
Correct Answer: D
Rationale: The correct answer is D because Tums or Rolaids are safe antacids commonly recommended for heartburn during pregnancy. They help neutralize stomach acid and provide relief. Choice A is incorrect as drinking fluids before bedtime can aggravate heartburn. Choice B is incorrect because it's important to eat small, frequent meals to prevent heartburn. Choice C is incorrect as coffee and orange juice can trigger heartburn due to their acidity. Overall, using antacids under healthcare provider guidance is the best option for managing heartburn during pregnancy.